Revising the practice of optometry to include certain laser procedures and in-office surgical procedures
HB 218 revises the practice of optometry by expanding the scope of services licensed optometrists can provide. It permits optometrists to perform certain in-office surgical procedures and laser surgical procedures, specifically limited to the anterior segment of the eye and adnexa. However, the bill explicitly excludes penetrating intraocular surgery, intravitreal injection, and refractive surgery. To perform laser surgical procedures, optometrists must be certified by the board after completing required didactic and clinical training. This act takes effect on July 1, 2025.
Bill status
signed
all 5 stages cleared
Introduction
Jan 2025
Committee Review
Mar 2025
House Passage
Apr 2025
Senate Passage
Apr 2025
Signed into Law
Apr 2025
Introduced Jan 15, 2025
Signed Apr 17, 2025
Maddy AI version diff · 2 comparisons
What changed between versions
HB0218_1(7).pdf
→
HB0218_X.pdf
·
4 edits
MODERATE
This bill updates Montana's optometry laws to explicitly allow optometrists to perform specific in-office surgical and laser procedures on the front part of the eye, such as cataract removal. It clarifies that these new procedures are permitted only if the optometrist holds a special certification from the state board. The changes also include minor formatting updates to the bill text and a correction to a redundant word in the existing rules.
Scope change
The bill expands the scope of practice for optometrists by adding specific surgical and laser procedures to the list of allowed activities, while simultaneously adding a new certification requirement for those procedures.
SCOPE
Explicitly permits optometrists to perform in-office surgical and laser procedures limited to the anterior segment of the eye and adnexa.
REQUIREMENT
Requires optometrists to obtain specific board certification to perform the newly allowed laser surgical procedures.
DEFINITION
Corrected a typo in the existing text where the word 'allows' was repeated.
TECHNICAL
Removed redundant explanatory text from the title and act description that was present in the draft version.
Floor votes · Senate Apr 1, 2025 · House Jan 29, 2025
How they voted
38–12
Passed
Total votes 50
Apr 1, 2025
D
Democratic18
72% Yea
R
Republican32
78% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
40
Key actions
9
Committee
6
Apr 16, 2025
Signed into law
(H) Signed by Governor
lower
Apr 9, 2025
Upper · Passed
(S) Signed by President
upper
Apr 7, 2025
Lower · Passed
(H) Signed by Speaker
lower
Apr 1, 2025
Senate · Passed
Senate Vote: pass (38-12)
senate
Mar 25, 2025
Upper · Passed
(S) Committee Report - (S) Business, Labor and Economic Affairs
upper
Mar 25, 2025
Upper · Passed
(S) Committee Executive Action - (S) Business, Labor and Economic Affairs
upper
Feb 17, 2025
Committee
(S) Referred to Committee - (S) Business, Labor and Economic Affairs
upper
Jan 29, 2025
House · Passed
House Vote: pass (76-24)
house
Jan 22, 2025
Lower · Passed
(H) Committee Report - (H) Business and Labor
lower
Jan 22, 2025
Lower · Passed
(H) Committee Executive Action - (H) Business and Labor
lower
Jan 16, 2025
Committee
(H) Referred to Committee - (H) Business and Labor
lower
Jan 15, 2025
Introduced
(H) Introduced
lower
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Ed Buttrey
RRepublican
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